Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Prodigy Medical Management

Organization Surgery Physician · NPI 1538885272

Prodigy Medical Management is a Surgery Physician in Rutherford, New Jersey. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

71 Union Ave Ste 210
Rutherford, NJ 07070-1272
Phone: (551) 285-4250
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X

Record details

NPI number1538885272
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Angelo Caprio — Owner · (201) 892-9397
NPI enumeratedOctober 14, 2022
Last updated in NPPESFebruary 24, 2026
Certification dateFebruary 24, 2026
Mailing address71 Union Ave Ste 210, Rutherford, NJ 07070-1272

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